PROSTHETIC DESIGN, INC. (NPI# 1689672750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689672750 |
| Entity Type | Organization |
| Organization Name | PROSTHETIC DESIGN, INC. |
| Practice Address |
5467 Highland Park Dr Saint Louis MO 63110-1313 |
| Mailing Address |
Po Box 444 Ballwin MO 63022-0444 |
| Practice Telephone | 3145355359 |
| Practice Fax Number | 3145355488 |
| Mailing Telephone | 3145355359 |
| Mailing Fax Number | 3145355488 |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | MRS. DEBORAH JEAN WILSON (VICE PRESIDENT) |
| Authorized Official Telephone | 3145355359 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | 17156319 | MO | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 624794301 | 05 |
| Street Address |
5467 HIGHLAND PARK DR |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63110-1313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659971992 | Carrie Ellen Smith | Nurse Practitioner | Mailstop 90-00-174, One Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-10-27 |
| 1881210466 | Michelle Amanda Freilich | Internal Medicine | Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-06-19 |
| 1245856046 | Jeevin Shahi | Radiology | 3685 Vista Avenue, Center for Radiation Medicine, St. Louis, MO 63110 | 2020-06-18 |
| 1497371314 | Wilson Eduardo Rodriguez | Student in an Organized Health Care Education/Training Program | 1008 S. Spring, St Louis, MO 63110 | 2020-06-17 |
| 1578184065 | Kathryn Kay Lindsay | Registered Nurse | Saint Louis University Dept of Surgery, 3635 Vista Ave 3dt, St Louis, MO 63110 | 2020-05-06 |
| 1881232700 | Ashley Diane Pace | Nurse Practitioner | 1 Parkview Place, Shoenberg 6900, St. Louis, MO 63110 | 2019-12-11 |
| 1619520418 | Krithika Damodar Shenoy | Pathology | 660 Euclid Avenue, One Barnes Jewish Hospital Plaza, St. Louis, MO 63110 | 2019-07-20 |
| 1467912550 | Ian Ferguson | Dermatology | 660 S Euclid Ave., Cb 8123, St. Louis, MO 63110 | 2019-03-23 |
| 1760978688 | Ihab Hassanieh | Student in an Organized Health Care Education/Training Program | 33660 Vista Ave, St. Louis, MO 63110 | 2018-07-03 |
| 1336634500 | Martin K Mwangi | Pediatrics | 1 Childrens Place, 3s34, St. Louis, M, MO 63110 | 2018-06-28 |
| Find all providers in zip 63110 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427656727 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 755 S New Ballas Rd Ste 140, Saint Louis, MO 63141-8713 | 2020-10-09 |
| 1649778382 | Boston Brace International Inc. | Prosthetic/Orthotic Supplier | 50 Crestwood Executive Ctr Ste 315, Saint Louis, MO 63126-1900 | 2018-01-29 |
| 1730631417 | Health Tech Staffing Network | Prosthetic/Orthotic Supplier | 2122 Kratky Rd Ste 100, Saint Louis, MO 63114-1706 | 2016-10-28 |
| 1659535854 | Prosthetic and Orthotic Care Inc | Prosthetic/Orthotic Supplier | 1084 Old Des Peres Rd, Saint Louis, MO 63131-1865 | 2008-07-16 |
| 1487816583 | Bi-state Orthotics and Prosthetics | Prosthetic/Orthotic Supplier | 12660 Lamplighter Sqr Shppng Ctr, Suite J, Saint Louis, MO 63128-2761 | 2008-06-30 |
| 1720255821 | Bsop, LLC | Prosthetic/Orthotic Supplier | 11229 Concord Village Ave, Saint Louis, MO 63123-6903 | 2008-05-08 |
| 1649490574 | Contemporary Healthcare Consulting Inc | Prosthetic/Orthotic Supplier | 5416 Southfield Ctr, Saint Louis, MO 63123-5907 | 2007-04-25 |
| 1356442396 | B & H Orthopedic Lab Inc. | Prosthetic/Orthotic Supplier | 2510 Hampton Ave, Saint Louis, MO 63139-2911 | 2006-09-25 |
| 1801861505 | Cape Prosthetics-orthotics, Inc. | Prosthetic/Orthotic Supplier | 2262 Weldon Pkwy, Saint Louis, MO 63146-3206 | 2006-02-17 |
| 1578562831 | Wrymark, Inc | Prosthetic/Orthotic Supplier | 11833 Westline Industrial Dr, Saint Louis, MO 63146-3312 | 2005-07-19 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63110 |
Please comment or provide details below to improve the information on PROSTHETIC DESIGN, INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.